THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com
S U M M A R Y
DIARY: December 16, 2015 11:30 AM Wednesday;
Rod Welch
VA Radiology fracture right wrist injury hiking Half Dome and both knees.
1...Summary/Objective
2...Xray Right Wrist and Both Knees 151216
3...Knees Xray Study and Xray Right Wrist 151216
4...Medical Chart Radiology Report Imaging Files CCTA Scan on 151216
5...CCTA Scan on 151216 Medical Chart Radiology Report Imaging Files
........KNEE ORTHO OA, BILAT: ROSENBERG, STANDING AP, LAT, MERCHANT
........WRIST, RIGHT, 3 OR MORE VIEWS
..............
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CONTACTS
SUBJECTS
Yosemite Half-Dome Hike 9 Hours Reached Beginning Swishbacks to Top
2103 -
2103 - ..
2104 - Summary/Objective
2105 -
210501 - Follow up ref SDS 13 0000. ref SDS 11 0000.
210502 -
210503 -
210504 -
210505 -
210506 -
210508 - ..
2106 -
2107 -
2108 - Progress
2109 -
210901 - Met with Alex in Radiology Administration. She checked me in for
210902 - xray on both knees and right wrist.
210904 - ..
210905 - Placed order for CD with these xray studies, and the doctor's report.
210906 -
210907 -
210909 - ..
2110 -
2111 -
2112 - 1133
2113 -
211301 - Met with Mike.
211302 -
211303 - He performed xrays on both knees and the right wrist, which were
211304 - ordered by Doctor Chu in Orthopedics during the meeting at the VA
211305 - Medical Center in San Francisco on 151104 1315. ref SDS 13 FL52
211307 - ..
211308 - Was surprised these were xray studies instead of CT technology, since
211309 - xray study on 151005 failed to identify a fracture, ref SDS 11 WE9J,
211310 - but a supplemental CT scan clearly showed the fracture of the right
211311 - wrist. ref SDS 11 469H
211313 - ..
211314 - Also surprised xray of left knee does not seem to show significant
211315 - cartelage missing with bone from upper leg growing down to fill the
211316 - gap with the lower bone which was clearly shown in the xray done at
211317 - Kaiser on 990910 1410. ref SDS 2 OE68 At that time on 990910, the
211318 - condition was similar but worse than shown by xray 10 years earlier on
211319 - 881010. ref SDS 1 6295
211320 -
211321 - [...below on 151216 1130 Radiology report on xray says
211322 - "...left knee shows moderate medial compartmental and
211323 - medial patellofemoral joint space narrowing and moderate
211324 - tricompartmental marginal osteophytes." ref SDS 0 BO5O
211326 - ..
211327 - This seemingly miraculous recovery from severe degenerative arthritis
211328 - diagnosed on 881010, and worsening on 990910, may result from hiking
211329 - 11 miles per day (10,000 miles past 4 years, and combined with taking
211330 - Glucosamine Chondroitin.
211332 - ..
211333 - Should ask Craig Boulris in Orthopedics at Kaiser in Walnut Creek for
211334 - xray study on 990910
211335 -
211336 - [On 151223 1013 went to Kaiser - requested xray study
211337 - performed on 990910 that showed severe degenrative
211338 - arthritis. ref SDS 16 XJ6L
211339 -
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211345 -
2114 -
SUBJECTS
Default Null Subject Account for Blank Record
2203 -
220401 - ..
220402 - Xray Right Wrist and Both Knees 151216
220403 - Knees Xray Study and Xray Right Wrist 151216
220404 - Medical Chart Radiology Report Imaging Files CCTA Scan on 151216
220405 - CCTA Scan on 151216 Medical Chart Radiology Report Imaging Files
220406 -
220407 - Radiology studies for both right wrist, and both knees were performed
220408 - at same time and submitted by VA on same CD...
220409 -
220410 - Stored Radiology Imaging Fiies...
220411 -
220412 - F:\05\00003\SM\CC\GMPF\GFJ\20151216-111755\
220414 - ..
220415 - The file that launches radiology imaging is...
220416 -
220417 - F:\05\00003\SM\CC\GMPF\GFJ\20151216-111755\GEARView.exe
220419 - ..
220420 - Radiology issued written report analysing findings and impressions
220421 - stored in...
220422 -
220423 - F:\05\00003\SM\CC\GMPF\GFJ\20151216-111755\w0144_welch_12 15 15.pdf
220425 - ..
220426 - This radiology report was reviewed with Doctor Choo in a meeting later
220427 - today, reported in another record on 151216 1315. ref SDS 14 JN3J
220428 -
220430 - ..
220431 - KNEE ORTHO OA, BILAT: ROSENBERG, STANDING AP, LAT, MERCHANT
220432 -
220433 - Exm Date: DEC 16, 2015@11:08
220434 - Req Phys: CHOO,KEVIN J
220436 - ..
220437 - Pat Loc: ORTHO-TRAUMA (Req'g Loc)
220438 - Img Loc: RADIOLOGY*
220439 - Service: Unknown
220440 -
220441 - (Case 976 COMPLETE) KNEE ORTHO OA, BILAT: ROSENBERG, (RAD
220442 - Detailed) CPT:73565
220444 - ..
220445 - Reason for Study: knee pain
220446 - Clinical History:
220447 - knee pain
220448 - Report Status: Verified
220450 - ..
220451 - Date Reported: DEC 16, 2015
220452 - Date Verified: DEC 16, 2015
220454 - ..
220455 - Verifier E-Sig:/ES/MARCIA J. MCCOWIN, M.D.
220457 - ..
220458 - Report: Comparison: None
220460 - ..
220461 - Impression:
220462 -
220463 - 1. 4 weightbearing views of both knees show findings of
220464 - diffuse osteopenia and degenerative joint disease.
220466 - ..
220467 - 2. The left knee shows moderate medial compartmental and
220468 - medial patellofemoral joint space narrowing and moderate
220469 - tricompartmental marginal osteophytes.
220471 - ..
220472 - Seems like good news - how did "severe" degenerative arthritis with
220473 - missing cartilage, reported by Doctor Boulris at Kaiser on 990910
220474 - 1410. ref SDS 2 OE68, improve to "moderate" and "marginal"
220475 - osteophytes?
220476 -
220477 - [On 151216 1315 during meeting in Orthopedics
220478 - Department, Doctor Lau advised that both knees look
220479 - normal for 70 year old with no symptoms. ref SDS 15 E16F
220480 - Progress Notes report "Left knee: mild degenerative
220481 - changes" rather than "moderate joint narrowing" in xray
220482 - findings. ref SDS 14 U658
220484 - ..
220485 - [on 151216 1315 Doctor Lau Progress Notes report -
220486 - Bilateral knees: reassured patient that clinically and
220487 - radiographically no signficant disease that would
220488 - require any intervention particularly because he is not
220489 - symptomatic. ref SDS 15 U669
220491 - ..
220492 - [On 151223 1013 went to Kaiser - requested xray study
220493 - performed on 990910 that showed severe degenrative
220494 - arthritis. ref SDS 16 XJ6L
220496 - ..
220497 - VA Xray study on 151216 continues...
220498 -
220499 - 3. The right knee shows mild tricompartmental osteophytes.
220501 - ..
220502 - Primary Diagnostic Code:
220504 - ..
220505 - Primary Interpreting Staff:
220506 - MARCIA J. MCCOWIN, M.D., Staff Radiologist UC# 25632
220507 - (Verifier)
220508 - /MJM
220509 -
220511 - ..
220512 - WRIST, RIGHT, 3 OR MORE VIEWS
220513 -
220514 - Exm Date: DEC 16, 2015@11:08
220515 - Req Phys: CHOO,KEVIN J
220516 -
220517 - Pat Loc: ORTHO-TRAUMA (Req'g Loc)
220518 - Img Loc: RADIOLOGY*
220519 -
220520 - (Case 977 COMPLETE) WRIST, RIGHT, 3 OR MORE VIEWS
220521 - (RAD Detailed) CPT:73110
220523 - ..
220524 - Reason for Study: right drf
220525 - Clinical History:
220526 - right drf
220527 - Report Status: Verified
220529 - ..
220530 - Date Reported: DEC 16, 2015
220531 - Date Verified: DEC 16, 2015
220533 - ..
220534 - Verifier E-Sig:/ES/MARCIA J. MCCOWIN, M.D.
220535 - Report:
220536 - Comparison: 10/5/2015
220538 - ..
220539 - Impression:
220540 -
220541 - 1. Mild callus formation is seen at the distal radius
220542 - fracture.
220544 - ..
220545 - Primary Diagnostic Code:
220546 - Primary Interpreting Staff:
220547 - MARCIA J. MCCOWIN, M.D., Staff Radiologist UC# 25632
220548 - (Verifier)
220549 - /MJM
220550 -
220551 -
220552 -
220553 -
220554 -
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2206 -